Materiały źródłowe

• #1 Acoustic Neuroma Nursing Management and Interventions – Nurseslabs

  https://nurseslabs.com/acoustic-neuroma-nursing-management/

  An acoustic neuroma is a benign (noncancerous) tumor on the eighth cranial nerve (vestibulocochlear) leading from the brainstem to the ear. […] Acoustic neuromas may occur sporadically, or in some cases occur as part of von Recklinghausen Neurofibromatosis, in which case the neuroma may take on one of two forms. […] Risk for Falls related to loss of balance […] Disturbed Sensory Perception (auditory) […] Risk for Imbalanced Nutrition: Less Than Body Requirements RT weak facial muscles.

• #2 Acoustic Neuroma (Vestibular Schwannoma): Symptoms

  https://my.clevelandclinic.org/health/diseases/16400-acoustic-neuroma

  Acoustic neuromas (vestibular schwannomas) are benign (noncancerous) tumors that can affect the nerves that help you hear and maintain your balance. […] Treatment may include surgery, radiation therapy and, in rare cases, chemotherapy to treat the tumor. […] Treatment options include: […] Vestibular rehabilitation therapy: Sometimes, surgery involves removing parts of nerves that control balance. Vestibular rehabilitation is therapy that helps you compensate for losing those nerves and the functions they manage. […] If the condition causes symptoms, your provider may recommend surgery to remove the tumor. In some cases, surgery affects nerves that control your ability to maintain balance. In that case, your provider will recommend that you have vestibular rehabilitation therapy. […] Your healthcare team will understand your concerns. Theyll take time to explain treatment options and potential complications.

• #3 Vestibular Schwannoma (Acoustic Neuroma) & Neurofibromatosis | NIDCD

  https://www.nidcd.nih.gov/health/vestibular-schwannoma-acoustic-neuroma-and-neurofibromatosis

  A vestibular schwannoma (also known as acoustic neuroma, acoustic neurinoma, or acoustic neurilemoma) is a benign, usually slow-growing tumor that develops from the balance and hearing nerves supplying the inner ear. […] As the vestibular schwannoma grows, it affects the hearing and balance nerves, usually causing unilateral (one-sided) or asymmetric hearing loss, tinnitus (ringing in the ear), and dizziness/loss of balance. […] Early diagnosis of a vestibular schwannoma is key to preventing its serious consequences. There are three options for managing a vestibular schwannoma: (1) surgical removal, (2) radiation, and (3) observation. […] The removal of tumors affecting the hearing, balance, or facial nerves can sometimes make the patients symptoms worse because these nerves may be injured during tumor removal.

• #4 What is Acoustic Neuroma (Vestibular Schwannoma)? Symptoms, Risk Factors & Treatments | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/acoustic-neuroma.html

  Acoustic neuroma, also known as a vestibular schwannoma, is a benign (non-cancerous) tumor. Despite the name, these tumors do not develop from the acoustic nerve. They start in the vestibular nerve, which is associated with balance. […] Acoustic neuromas are rare, benign tumors that grow on the nerve for hearing and balance, called the vestibulocochlear nerve or the eighth cranial nerve. […] The tumors usually grow slowly and do not spread through the body. The average tumor growth is estimated at one to two millimeters per year. However, some tumors grow more rapidly. Approximately one-third of patients have tumors that dont seem to grow at all. A few tumors (1%-2%) get smaller without any intervention. […] While there are no subtypes of acoustic neuroma, size plays an important role in treatment planning. Instead of requiring immediate treatment, small tumors, especially tumors confined to the IAC, can be monitored for growth with regular imaging exams. This is called active surveillance. Large tumors that compress the brainstem require surgical removal. In both cases, shared decision making between the patient and care team is the basis for determining the course of treatment.

• #5 Acoustic Neuroma (Vestibular Schwannoma) | University of Iowa Health Care

  https://uihc.org/services/acoustic-neuroma-vestibular-schwannoma

  Treatment by UI Health Care experts can minimize hearing loss, stop dizziness, and improve your balance. […] Acoustic neuroma, also called vestibular schwannoma, is a slow-growing, non-cancerous (benign) tumor. It develops on a nerve that runs between the inner ear and the brain. […] While an acoustic neuroma isn’t cancerous, it can be life-threatening. If not treated, it can grow large enough to press against your brain stem. […] And if it’s not performed by an expert with years of experience, surgery to remove an acoustic neuroma can result in facial paralysis or hearing loss. […] UI Health Care neurotologists have years of experience performing this surgery, which means better outcomes for patients. […] Surgery is most effective if you’re in good overall health, but your tumor is causing significant dizziness or balance problems.

• #6

  https://www.aurorahealthcare.org/services/neuroscience/brain-skull-base-care/vestibular-schwannoma

  A vestibular schwannoma is a benign tumor on the nerve connecting the ear to the brain. […] A vestibular schwannoma develops in Schwann cells, which are the basis of myelin, a protective layer that grows around nerves. […] Symptoms of a vestibular schwannoma usually appear slowly and the tumors grow slowly over a period of years. However, symptoms can also appear suddenly. […] When the tumor is only affecting the part of the vestibular nerve that affects hearing, the symptoms are related to hearing or balance such as ringing or buzzing in one ear (tinnitus), gradual hearing loss in one ear, a feeling of fullness in the ear, and balance problems. […] Other vestibular schwannoma symptoms are: Headaches, Fatigue, Changes in thinking, Oral or swallowing issues. […] Diagnosis of an acoustic neuroma tumor can be confirmed with imaging tests such as MRI with contrast dye or CT, which produce 3D images of the area.

• #7 Acoustic Neuroma (Vestibular Schwannoma) | University of Michigan Health

  https://www.uofmhealth.org/conditions-treatments/ear-nose-throat/acoustic-neuroma

  An acoustic neuroma (also known as a vestibular schwannoma) is a benign tumor that originates on the eighth cranial nerve, which connects the inner ear with the brain. Acoustic neuromas are typically slow growing over a period of years. Although these tumors do not invade the brain, they commonly cause hearing loss and can result in neurological deficits. Acoustic neuromas can also be life threatening if they become large enough to compress the brain stem or cerebellum. […] When an acoustic neuroma is caught early, the likelihood that an experienced surgeon can remove it while preserving the delicate facial nerve is quite good (greater than 90 percent). Preservation of hearing is more difficult but may also be possible in select centers with very experienced treatment teams. […] At Michigan Medicine, each patient is thoroughly evaluated, with a complete history, a physical examination, MRI or CT imaging and hearing and balance tests. We take into consideration health issues, the size and location of the tumor and its symptoms, and then discuss all treatment options with the patient.

• #8 Acoustic Neuroma Treatment | Vestibular Schwannoma | Duke Health

  https://www.dukehealth.org/treatments/ear-nose-and-throat/acoustic-neuroma

  Duke experts regularly treat rare, noncancerous growths called acoustic neuromas (also called vestibular schwannomas) found on the nerves responsible for balance and hearing. Preserving your hearing and balance, avoiding or minimizing facial paralysis, and reducing your pain are equally important goals. […] Acoustic neuroma treatment involves a team of specialists, including neurosurgeons, otolaryngologists, otologists and neurotologists (specialized ear, nose, and throat doctors who complete an additional two years of training to treat ear disorders), and radiation oncologists, among others. This team works closely with you to create an individualized treatment plan that addresses your unique situation and needs. […] Beyond treating the tumor itself, we have a wide range of options to treat the possible symptoms of an acoustic neuroma, including hearing loss, balance problems, and facial weakness or facial paralysis.

• #9 Acoustic Neuroma Program at UC San Diego Health

  https://health.ucsd.edu/care/ent/acoustic-neuroma/

  Vestibular therapy is an integral part of your comprehensive care, helping you before and after treatment. […] Our acoustic neuroma team is led by Rick Friedman, MD, PhD, and Marc Schwartz, MD, who have surgeries together for over two decades, with exceptional success with hearing preservation and balance recovery. […] This care team also includes experts in otology, neurotology, otolaryngology, neurology, radiology, radiation oncology, audiology, neuro-oncology and neurosurgery. […] When you contact the Acoustic Neuroma Program at UC San Diego Health, our team will help you prepare for your first interaction with the doctors. […] The success rate of acoustic neuroma surgery is very high, but it depends the size and location of the tumor, the patient’s overall health, and the surgical approach.

• #10 Acoustic Neuroma Treatment | Vestibular Schwannoma | Rush

  https://www.rush.edu/services/acoustic-neuroma-care

  As the only dedicated acoustic neuroma program in Chicago, Rush experts ensure you receive the most effective, advanced treatments. […] The Rush Acoustic Neuroma Program offers personal care plans for patients with acoustic neuromas. […] The team is committed to improving your quality of life by helping you make informed decisions about managing your tumor and, when needed, rehabilitation for hearing loss. […] Your team of specialists will provide input and work with you to decide on the best approach for treatment. […] It’s important to consult with an acoustic neuroma specialist to learn about all your options before you start any type of treatment. […] We encourage you to schedule a consultation with us: If you have been newly diagnosed with an acoustic neuroma […] If you need follow-up care after initial treatment

• #11 Acoustic Neuroma (Vestibular Schwannoma) | Memorial Sloan Kettering Cancer Center

  https://www.mskcc.org/cancer-care/types/acoustic-neuroma

  Our acoustic neuroma treatment team will collaborate to give you the most advanced care that fits your unique needs. […] If you think you may have an acoustic neuroma, Memorial Sloan Ketterings experts can make or confirm your diagnosis. Once a diagnosis is made, well work with you to determine which treatment is the best. Treatments for acoustic neuroma include wait and see (observation), surgery, radiation therapy, or a combination of surgery and radiation. […] Working as a team, our experts will: quickly determine if acoustic neuroma is causing your symptoms, design a customized treatment plan, if necessary, start with surgery, radiation, or other treatments right away. […] An appointment to see one of our experts for an acoustic neuroma diagnosis or treatment is usually available within days.

• #12 Acoustic Neuroma – Vestibular Disorders Association

  https://vestibular.org/article/diagnosis-treatment/types-of-vestibular-disorders/acoustic-neuroma/

  An acoustic neuroma is a benign tumor that develops from the balance and hearing nerves supplying the inner ear. […] Treatment typically includes one of three options: surgical removal, radiation, and monitoring. […] Acoustic neuromas occur equally in men and women and most commonly develop between the ages of 45 and 70 but may occur at any age. […] Overall, they represent 8% of all brain tumors and are the most common tumor to develop between the ear and the brainstem. […] Acoustic neuroma treatment requires an experienced and specialized multidisciplinary team. […] Broadly, acoustic neuromas can be managed with observation, surgery, radiation, or a combination of these treatment options. […] After diagnosis, you should take the time needed to understand your condition and feel comfortable with your treatment decision before moving forward.

• #13

  https://med.uth.edu/orl/2021/01/26/vestibular-schwannoma-acoustic-neuroma/

  Vestibular schwannomas come in different sizes and cause a variety of problems. […] Management of vestibular schwannomas centers around three different options: observation with repeated imaging, radiation, and surgery. […] Observation: The wait and scan approach may be an option for small tumors or patients for whom treatment carries increased risk. […] Radiation: Stereotactic radiosurgery (SRS) can be delivered in a single dose or the radiation may be divided into three to five treatment sessions. […] Surgery: The goal of microsurgery is to remove the tumor while preserving the function of nearby nerves and the brainstem. […] After surgery, patients can expect a three- to five-day hospital stay. […] If removing the tumor jeopardizes facial function or brainstem health, a portion of the tumor may be left behind.

• #14 Acoustic Neuroma (Vestibular Schwannoma) | University of Michigan Health

  https://www.uofmhealth.org/conditions-treatments/ear-nose-throat/acoustic-neuroma

  Treatment options include: Observation: This method is typically an option for small tumors or tumors with no accompanying symptoms as well as for patients who are elderly or too ill for surgery. […] Microsurgery, which includes three potential approaches: Middle Fossa approach: A hearing preservation approach used for patients with good hearing and smaller tumors that are primarily located within the internal auditory canal. This procedure is used in situations where hearing preservation is possible. […] Publications over the last two decades from the University of Michigan report high rates of success with preservation of hearing when the middle fossa approach was used to remove small to moderate size tumors. Of the people in the study who had useful hearing before the surgery, over three-quarters retained a level of useful hearing after their tumors were removed.

• #15

  https://www.aurorahealthcare.org/services/neuroscience/brain-skull-base-care/vestibular-schwannoma

  Vestibular schwannoma treatment options may include: Watchful waiting, Microsurgery to remove as much of the tumor as possible, CyberKnife radiosurgery, a noninvasive, robotic system that delivers high radiation doses to tumors with pinpoint accuracy, Rehabilitation for any hearing or balance problems. […] Brain surgery (craniotomy) may be considered for larger tumors or tumors that cause severe symptoms. […] Watchful waiting may be better for small tumors that grow slowly or aren’t causing symptoms because it avoids the risk of damage to the nerves.

• #16 Vestibular Schwannoma | The University of Kansas Health System

  https://www.kansashealthsystem.com/care/conditions/vestibular-schwannoma

  During the observation period, you’ll have regular checkups for hearing, balance, tinnitus and facial nerve function. You’ll also need an MRI every 6 months to a year. […] The objective of surgery is to remove the tumor without causing complications. Sometimes only part of a tumor can be removed. Surgery is performed under general anesthesia and requires a hospital stay of 4-6 days. You and your physician will discuss the best surgical approach for you based on the size and location of your tumor and the degree of hearing loss.

• #17 Acoustic Neuroma Symptoms, Surgery and Treatment | UPMC

  https://www.upmc.com/services/neurosurgery/brain/conditions/brain-tumors/acoustic-neuroma

  The UPMC Acoustic Neuroma Center offers a wide array of treatment options for acoustic neuromas. Our multidisciplinary team of neurosurgeons and neurotologists works together to offer each patient a personalized treatment plan. […] If the patient is experiencing more serious symptoms, surgery may be recommended by the doctor. […] As the acoustic neuroma grows, or if hearing becomes impaired, removal of all or part of the tumor may be necessary. […] The surgical approach depends on the size and location of the tumor. […] In all cases, we perform neurophysiological monitoring of cranial nerves, especially the seventh cranial nerve (facial nerve). […] The experts at the UPMC Acoustic Neuroma Center may recommend a combination of surgical and non-surgical treatments to treat your acoustic neuroma. Our goal is to maximize the benefits of surgery, while minimizing risks. […] Gamma Knife may be the first treatment option for an acoustic neuroma, particularly in cases where the tumor is not causing mass effect. […] Gamma Knife may be used as an additional treatment after partial surgical removal for large acoustic neuromas.

• #18 Acoustic neuroma – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/acoustic-neuroma/diagnosis-treatment/drc-20356132

  Your surgeon may use one of several techniques for removing an acoustic neuroma. The surgery technique depends on the size of the tumor, your hearing status and other factors. […] The goal of surgery is to remove the tumor and preserve the facial nerve to prevent paralysis of muscles in your face. Removing the entire tumor may not always be possible. […] Stereotactic radiosurgery technology uses many small gamma rays to deliver a precise dose of radiation to the target. […] The goal of stereotactic radiosurgery is to stop the growth of a tumor, preserve the facial nerve’s function and possibly preserve hearing. […] Risks of radiosurgery include: Hearing loss, Ringing in the ear, Facial weakness or numbness, Balance problems, Continued tumor growth.

• #19 Acoustic Neuroma, vestibular schwannoma | Mayfield Brain & Spine

  https://mayfieldclinic.com/pe-acoustic.htm

  Priorities in surgery are: first, the maintenance of facial nerve function; second, the preservation of socially useful hearing in the affected ear; and third, complete tumor removal. […] Outcomes of surgery depend on the size and adherence of the tumor, the use of cranial nerve monitoring, and the skill of the surgical team. […] Complications of surgery may include facial weakness or paralysis, cerebrospinal fluid leak, persistent headache, meningitis, and stroke. […] The goal of radiosurgery is to stop or control tumor growth. […] The benefits of radiation are not immediate but occur over time. […] Periodic MRI scans are necessary to monitor for tumor changes. […] Coping with the possibility of hearing loss and facial paralysis and deciding which treatment is best for you can be difficult.

• #20 Acoustic Neuroma Diagnosis & Treatment NYC | Mount Sinai – New York

  https://www.mountsinai.org/locations/skull-base-surgery-center/conditions/acoustic-neuroma

  Acoustic neuromas (vestibular schwannomas) are uncommon, benign tumors of the hearing and balance nerve that often cause progressive hearing loss in one ear. […] Patients with newly discovered acoustic neuromas receive full consultation with members of our multidisciplinary skull base surgery team and includes an examination of hearing and balance, as well as the surrounding cranial nerves. […] The treatment options for acoustic neuroma include: Surgical Resection: This is the only treatment option with the possibility of cure. During surgery, monitoring and preserving the nerves that control facial movement and hearing (in those that still have good hearing) are the top priorities. […] While we always attempt to remove the entire tumor, we may leave a very small piece intentionally to prevent facial paralysis or total hearing loss.

• #21 Vestibular Schwannoma (Acoustic Neuroma) – ENT Health

  https://www.enthealth.org/conditions/vestibular-schwannoma-acoustic-neuroma/

  Vestibular schwannoma, also called an acoustic neuroma, is a benign (non-cancerous) tumor that typically grows on the balance portion of the eighth cranial nerve. […] Management of vestibular schwannomas centers around three different options: observation with repeated imaging, radiation, and surgery. […] The goal of microsurgery is to remove the tumor while preserving the function of nearby nerves and the brainstem. […] If removing the tumor jeopardizes facial function or brainstem health, a portion of the tumor may be left behind.

• #22 Acoustic Neuroma (Vestibular Schwannoma) | University of Iowa Health Care

  https://uihc.org/services/acoustic-neuroma-vestibular-schwannoma

  After your surgery, you can expect to recover in the hospital for four to five days and then at home for the next few weeks. Most people are ready to return to normal activities in about a month. […] UI Health Care providers typically do not use this option because it can damage hearing. […] Depending on where your hearing loss has occurred, your neurotologist might recommend one of the following implanted devices to help you hear better: A cochlear implant, A bone-anchored hearing aid, An auditory brain stem implant. […] UI Health Care neurotologists are some of the most experienced in the country in the implantation of these devices.

• #23 Acoustic Neuroma Program at UC San Diego Health

  https://health.ucsd.edu/care/ent/acoustic-neuroma/

  After treatment for an acoustic neuroma, the preservation of hearing depends on several factors, including the size and location of the tumor, the treatment method, and the baseline hearing level before treatment. […] Our patients typically stay two to three nights in the hospital after surgery. […] Regrowth of an acoustic neuroma is very rare. […] Families often stay at our La Jolla Family House, within walking distance of Jacobs Medical Center (where acoustic neuroma surgeries are performed).

• #24 Acoustic Neuroma | Our Approach & Treatment Options | IU Health

  https://iuhealth.org/find-medical-services/acoustic-neuroma

  Treatment of acoustic neuromas with Gamma Knife radiosurgery can halt the growth of acoustic neuromas. This is typically recommended for smaller tumors that have demonstrated growth on MRI in older patients. […] Our surgeons at IU Health have excellent facial nerve outcomes while achieving high rates of total tumor removal. In some patients, Gamma Knife radiosurgery may be used if there is a small portion of the tumor left after surgery to preserve facial nerve function.

• #25 Vestibular Schwannoma (Acoustic Neuroma) & Neurofibromatosis | NIDCD

  https://www.nidcd.nih.gov/health/vestibular-schwannoma-acoustic-neuroma-and-neurofibromatosis

  As an alternative to conventional surgical techniques, radiosurgery (that is, radiation therapythe gamma knife or LINAC) may be used to reduce the size or limit the growth of the tumor. […] When the tumor is small and not growing, it may be reasonable to watch the tumor for growth. MRI scans are used to carefully monitor the tumor for any growth. […] Determining the best management of the vestibular schwannomas as well as the additional nerve, brain, and spinal cord tumors is more complicated than deciding how to treat a unilateral vestibular schwannoma. […] Scientists continue studying the molecular pathways that control normal Schwann cell development to better identify gene mutations that result in vestibular schwannomas. Scientists are working to better understand how the gene works so they can begin to develop new therapies to control the overproduction of Schwann cells in individuals with vestibular schwannoma.

• #26 Acoustic Neuroma Treatment | Vestibular Schwannoma | Duke Health

  https://www.dukehealth.org/treatments/ear-nose-and-throat/acoustic-neuroma

  Vestibular Rehabilitation Therapy. This special form of physical therapy trains your body and brain to make up for inner-ear dysfunction, helps you feel steadier on your feet, and relieves or reduces disabling symptoms. […] Patient Navigators Coordinate Your Care. Once you are diagnosed with an acoustic neuroma, our patient navigators become your one-stop shop for scheduling appointments, coordinating your visits, communicating your test results, and planning your surgery.

• #27 Acoustic Neuroma Program at UC San Diego Health

  https://health.ucsd.edu/care/ent/acoustic-neuroma/

  At UC San Diego Health, we focus on compassionate, comprehensive care for patients with acoustic neuroma. […] Our expert team performs the most vestibular schwannoma surgeries in the nation. […] Our patients stay in the hospital 2 to 3 days, for a total of 9 to 10 days in San Diego, which is especially helpful to those who travel for their treatment. […] We offer a range of advanced treatment options tailored to your unique needs, all in one location, including: […] Monitoring (wait and watch) is an option for patients with smaller, slow-growing tumors. […] Our team will work with you to determine the safest and most effective plan based on your specific condition. […] Osteopathic Manual Treatment (OMT) is a whole-person, hands-on approach that supports your healing and recovery.

• #28 Acoustic Neuroma Treatment & Surgery (Vestibular Schwannoma)

  https://health.ucsd.edu/care/ent/acoustic-neuroma/treatment/

  When it comes to treatment, you have options. Your care team will help you decide whats best for you. Surgery may be recommended if your tumor is large, growing, or causing significant symptoms. Keep in mind that even if your tumor isnt growing, hearing loss can still happen over time. We have extensive experience with all three surgical approaches to remove acoustic neuromas. The right choice depends on the size of your tumor and your hearing. The middle fossa approach requires considerable skill and experience. Our acoustic neuroma surgeons, Drs. Rick Friedman and Marc Schwartz, have worked together for more than two decades to treat acoustic neuromas. They have a high success rate of preserving hearing with middle fossa microsurgery. UC San Diego Health offers an inpatient osteopathic manual medicine consultation service to acoustic neuroma patients after surgery. OMT can help reduce the need for opiates and shorten your hospital stay. Vestibular therapy involves exercises to reduce dizziness, improve balance and promote faster recovery and return to activity. Your post-treatment care for acoustic neuroma will include a night in the neuro-intensive care unit, followed by a stay in our step-down unit for high-level care that is less intensive than the ICU. You will be monitored for any potential side effects of surgery, such as facial paralysis and temporary dizziness or balance problems. Preservation of hearing after treatment for an acoustic neuroma depends on several factors, including the size and location of the tumor, the treatment method, and the baseline hearing level before treatment. At UC San Diego Health, we have a high rate of hearing preservation with the middle fossa surgical approach. Regrowth of an acoustic neuroma is very rare. If it does occur, it often happens slowly and can take years to become a concern. This is why long-term follow-up with periodic MRI scans is essential.

• #29 Patient Discharge Instructions: Vestibular Schwannoma (Acoustic Neuroma) – Zachary R. Barnard, MD, MS

  https://neurosurgeryla.com/patient-discharge-instructions-vestibular-schwannoma-acoustic-neuroma/

  The following instructions are provided to guide you during your recovery at home. Please carefully read and follow these guidelines to ensure a smooth healing process: […] Your doctor may recommend vestibular rehabilitation therapy to address any balance or dizziness issues. Attend all scheduled therapy sessions and follow the therapists instructions. […] It is common to experience a range of emotions during your recovery from a vestibular schwannoma. Seek support from friends, family, or a mental health professional if needed. […] If you experience symptoms of depression, anxiety, or any other mental health concerns, consult your healthcare provider for appropriate guidance and support.

• #30 Acoustic Neuroma: Care Instructions | Kaiser Permanente

  https://healthy.kaiserpermanente.org/health-wellness/health-encyclopedia/he.acoustic-neuroma-care-instructions.zc1499

  An acoustic neuroma is a growth (tumor) on the nerve to the inner ear. It does not turn into cancer. But it can cause hearing loss, ringing in the ear, and dizziness. A large acoustic neuroma can press on the brain and become life-threatening. […] Follow-up care is a key part of your treatment and safety. Be sure to make and go to all appointments, and call your doctor if you are having problems. It’s also a good idea to know your test results and keep a list of the medicines you take. […] Call your doctor now or seek immediate medical care if: You are dizzy or lose your balance. You lose hearing in one ear. Part of your face droops or sags. You have vision problems, such as blurred or double vision, or you can see only out of one eye. You slur your words or cannot talk normally. […] Watch closely for changes in your health, and be sure to contact your doctor if: You do not get better as expected.

• #31 Acoustic neuroma – Diagnosis and treatment – Mayo Clinic

  https://www.mayoclinic.org/diseases-conditions/acoustic-neuroma/diagnosis-treatment/drc-20356132

  Our caring team of Mayo Clinic experts can help you with your acoustic neuroma-related health concerns. […] Supportive care including balance therapy, physical therapy, occupational therapy and hearing assistance is part of the comprehensive acoustic neuroma treatment at Mayo Clinic. […] In addition to treatment to remove or stop the growth of the tumor, supportive therapies can help. Supportive therapies address symptoms or complications of an acoustic neuroma and its treatment, such as dizziness or balance problems. […] You and your health care team may decide to monitor an acoustic neuroma if it’s small and isn’t growing or if it’s growing slowly. This may be an option if the acoustic neuroma causes few or no symptoms. Monitoring also may be recommended if you’re an older adult or if you’re not a good candidate for more-aggressive treatment.

• #32 Acoustic Neuroma Program at UC San Diego Health

  https://health.ucsd.edu/care/ent/acoustic-neuroma/

  Vestibular therapy is an integral part of your comprehensive care, helping you before and after treatment. […] Our acoustic neuroma team is led by Rick Friedman, MD, PhD, and Marc Schwartz, MD, who have surgeries together for over two decades, with exceptional success with hearing preservation and balance recovery. […] This care team also includes experts in otology, neurotology, otolaryngology, neurology, radiology, radiation oncology, audiology, neuro-oncology and neurosurgery. […] When you contact the Acoustic Neuroma Program at UC San Diego Health, our team will help you prepare for your first interaction with the doctors. […] The success rate of acoustic neuroma surgery is very high, but it depends the size and location of the tumor, the patient’s overall health, and the surgical approach.

• #33 Resources | Acoustic Neuroma Association of Canada

  https://www.anac.ca/resources

  The Acoustic Neuroma (AN) Clinical Care Pathway is intended to provide detailed guidance for each stage in the management of a patient with an AN over a given period (such as treatments, interventions) including progress and outcomes. […] „It should be considered a tool or a roadmap for those newly diagnosed with Vestibular Schwannoma otherwise known as an acoustic neuroma to help navigate ones care and treatment course” says Dr. Gelerah Zadeh, Neurosurgeon at Toronto Western Hospital part of the University Health Network in Toronto. […] Facial weakness or paralysis can occur after surgery to remove a vestibular schwannoma (acoustic neuroma). Fortunately, with improved surgical techniques, improved diagnostics, and facial nerve monitoring, it is much less common… […] Balance Retraining Exercises The main complaint postoperatively is fatigue. Others experience symptoms such as dizziness, light-headedness, unsteadiness and/or disequilibrium. It is important to realize that balance improves slowly over time…

• #34 Vestibular Schwannomas (aka acoustic neuromas) | UNC Facial Nerve Center

  https://www.med.unc.edu/ent/facialnervecenter/conditions/vestibular-schwannomas-aka-acoustic-neuromas/

  Vestibular schwannomas (aka acoustic neuromas) are common benign tumors of the vestibular nerve (aka balance nerve). Patients oftenPatient with right facial paralysis present with asymmetric hearing loss, dizziness, and/or balance issues. Vestibular schwannomas are managed and treated by neurotologists (dedicated ear and skull base surgeons). Treatment options include observation, targeted radiation therapy, and surgery to remove the tumor. […] Most commonly, the facial nerve remains intact during vestibular schwannoma surgery and patients wake up with normal facial function. […] During this period, Dr. Miller can perform eyelid procedures such as a platinum eyelid weight placement to maximize protection and comfort of the eye (this weight can easily be removed when patients regain the ability to blink and protect their eyes!!!).

• #35 Acoustic Neuroma Rehabilitation | Northwestern Medicine

  https://www.nm.org/conditions-and-care-areas/ent-ear-nose-throat/acoustic-neuroma/acoustic-neuroma-rehabilitation

  Rehabilitation for patients with acoustic neuromas, also called vestibular schwannomas, typically uses therapies to reduce issues caused by the tumor. This may include therapies to: […] Types of rehabilitation you may get include: […] There are specialized devices that can help after hearing loss including: […] Acoustic neuroma is a noncancerous tumor. It affects hearing and balance when the tumor presses on the nerves in the inner ear.

• #36 What is Acoustic Neuroma (Vestibular Schwannoma)? Symptoms, Risk Factors & Treatments | MD Anderson Cancer Center

  https://www.mdanderson.org/cancer-types/acoustic-neuroma.html

  MD Andersons Head and Neck and Brain and Spine Centers offer customized treatment for patients with acoustic neuroma. Because they are uncommon and complex, acoustic neuromas demand attention from a highly experienced and skilled group of specialists. […] Acoustic neuroma and its treatment can cause hearing loss. MD Andersons comprehensive Audiology Section helps evaluate and manage this issue. Rehabilitation services include conventional hearing aids, bone-anchored hearing aids (BAHA) or contralateral routing of sound hearing aids (CROS). Select patients may receive a cochlear implant. […] Occasionally, patients develop additional challenges after treatment for acoustic neuroma, such as facial paralysis or loss of balance. Physicians in ophthalmology, plastic and reconstructive surgery, and rehabilitation medicine are available to help manage these issues. […] We offer complete genetic testing and counseling to help determine your risk. As one of the nations top research institutions, MD Anderson is investigating new ways to treat acoustic neuroma, especially for patients with NF2.

• #37 Vestibular schwannoma (acoustic neuroma) | Macmillan Cancer Support

  https://www.macmillan.org.uk/cancer-information-and-support/brain-tumour/acoustic-neuroma

  Because a vestibular schwannoma develops on the hearing and balance nerve, one of the main symptoms of the tumour is loss of hearing on that side. […] Active monitoring means regularly checking the tumour to find out whether it is growing. […] Radiotherapy uses high-energy rays to destroy the tumour cells. […] Surgery for a vestibular schwannoma involves removing all or part of the tumour. […] After your treatment has finished, you will have regular check-ups, tests and scans. […] Your doctor or nurse may refer you to a neurological rehabilitation service. This service may be able to refer you to a physiotherapist, speech and language therapist or occupational therapist and offer emotional support.

• #38 Acoustic Neuroma, vestibular schwannoma | Mayfield Brain & Spine

  https://mayfieldclinic.com/pe-acoustic.htm

  Hearing preservation is an important goal for patients with an acoustic neuroma, although it is not always possible. […] Patients with NF-2 can develop bilateral acoustic neuromas, and many may eventually lose hearing in both ears. […] Balance problems can be improved with exercise, Pilates, or Tai Chi. […] Facial exercises and massage are recommended to improve facial nerve function. […] Acoustic neuromas sometimes recur after radiation or surgery. Periodic MRI scans (every 1 to 2 years) and hearing tests are important for long-term monitoring.

• #39 Acoustic Neuroma | Stanford Health Care

  https://stanfordhealthcare.org/medical-conditions/ear-nose-and-throat/acoustic-neuroma.html

  Acoustic neuromas (also called vestibular schwannomas) are noncancerous brain tumors that can cause problems with hearing, balance, and facial movement and sensation. Even though vestibular schwannomas are not cancerous, it’s important to get the right treatment so you can maintain your quality of life. […] At Stanford Health Care, we’re leaders in treating all sizes and types of acoustic neuromas, no matter how common or complex. People from around the world come to us for our multispecialty team, advanced treatment options, and compassionate care. […] Our neurology specialists are experts in caring for acoustic neuroma brain tumors (vestibular schwannomas) with advanced diagnostic and treatment options.

• #40 Acoustic Neuroma Program – Brain Tumor | UCLA Health Jonsson Comprehensive Cancer Center

  https://www.uclahealth.org/cancer/cancer-services/brain-tumor/conditions/meningioma-and-skullbase-tumor-program/acoustic-neuroma-program

  The UCLA Acoustic Neuroma Program at the Ronald Reagan UCLA Medical Center is a multi-disciplinary team of experts in their respective fields collaborating to provide exceptional care for patients with acoustic neuroma. […] We provide comprehensive evaluation, diagnostic testing, and a wide range of treatment options. Our skull base surgeons are specialized in the management of acoustic neuroma and utilize the most advanced treatment technologies to provide the safest and most effective care. […] Our mission is to provide comprehensive and personalized state-of-the-art care for patients with acoustic neuroma. […] At the UCLA Acoustic Neuroma Program, a multidisciplinary team approach is utilized to provide the best care for our patients. Treatment depends on a number of factors including patient age, overall health, tumor location and size, and the rate of tumor growth.

• #41 Acoustic Neuroma Treatment | Vestibular Schwannoma | Rush

  https://www.rush.edu/services/acoustic-neuroma-care

  If your tumor is growing after prior radiation therapy […] If you’re seeking a second opinion about either your diagnosis or treatment options, especially before you decide on a treatment. […] The first line of treatment for acoustic neuroma will vary based on your individual condition. […] But your care team will always work to recommend the least invasive approaches that will be effective. […] Yes, a full recovery is possible after treatment. […] Your recovery and how long it takes will vary, but your care team will help you understand your condition and options. […] They can connect you with rehabilitation services for follow-up care if needed. […] For our acoustic neuroma patients, we work in a collaborative fashion with the departments of neurosurgery and radiation oncology to offer you a full array of treatment options.

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• #43 Vestibular Schwannoma | Mass Eye and Ear

  https://masseyeandear.org/conditions/vestibular-schwannoma

  A vestibular schwannoma (formerly known as an acoustic neuroma) is a rare, non-cancerous tumor in the inner ear that presses on the nerves of the inner ear. […] A vestibular schwannoma can cause hearing loss, tinnitus, balance problems, and additional effects on function including problems speaking and swallowing. […] Vestibular schwannomas are diagnosed by assessing a patients history (symptom course), physical examination, hearing tests and an MRI. Treatment options include observation with repeated MRI imaging, surgery or radiation therapy, depending on the size and severity of the tumor. […] These tumors are benign, but can grow to a large, life-threatening size. In general, these tumors are very slow growing (1 to 2 millimeters per year) and some tumors do not grow at all or remain stable in size for years.

• #44 Acoustic Neuroma/Vestibular Schwannoma: Symptoms, Causes, & Treatment | University of Utah Health | University of Utah Health

  https://healthcare.utah.edu/skull-base-tumors/acoustic-neuroma

  Acoustic neuroma is a type of slow-growing skull base tumor. Acoustic neuromas develop along the nerve that connects your inner ear and brain. This nerve helps with balance and hearing. Another name for an acoustic neuroma is vestibular schwannoma. […] You may need surgery if the acoustic neuroma is large or growing. Your skull base surgeon may also recommend surgery if you have disruptive symptoms. […] Our goal is to remove as much of the tumor as we can without affecting surrounding tissues. […] We believe in collaborative care. All acoustic tumors are managed by a team of neuro-otologists and neurosurgeons with specialized training acoustic neuroma surgery.

• #45 Acoustic Neuroma | Signs & Symptoms of Acoustic Neuroma IL

  https://advancedneuro.endeavorhealth.org/specialties/brain-tumors-neuro-oncology/schwannoma/acoustic-neuroma/

  If you have been diagnosed with acoustic neuroma, it is important to learn about the various treatments available given your circumstances. There are generally three treatment options: […] Surgery is a common treatment for acoustic neuroma. It is performed under general anesthesia and often involves removing the majority of the tumor or a portion of it, depending on its size and location. While there are risks to surgery, technological advancements have made this procedure safer and more successful than ever before, leading to a greater chance of a full recovery with minimal side effects. […] If you or a loved one has been diagnosed with acoustic neuroma, you’ll need a team of specialists who are experienced at providing innovative and compassionate care. The Advanced Neurosciences Center team offers holistic and patient-centered care for those suffering from rare neurological issues and can help you return to the life you love. From diagnosis to treatment and beyond, we’ve got you.

• #46 Vestibular Schwannoma | Radiant Oncology

  https://radiantoncology.com/what-we-treat/vestibular-schwannoma/

  One common side effect of vestibular schwannoma treatment is facial nerve palsy, also called seventh cranial nerve dysfunction. This condition occurs when the facial nerve is damaged, causing paralysis or weakness on one side of the face. Although it can be temporary, it can also be permanent. […] Radiation therapy can also be used to relieve symptoms caused by a vestibular schwannoma, such as hearing loss or balance problems. Treatment with radiation therapy usually causes few side effects. The most common side effects are fatigue and skin changes. These side effects usually go away after treatment ends. […] A vestibular schwannoma diagnosis can be alarming, but you can rest assured knowing that youre in experienced hands with our team of doctors and nurses. We believe that no two patients are alike which is why we will develop a unique care plan tailored specifically for you and your situation.

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